Malnutrition is an underlying cause of 45 percent of deaths in children under the age of five worldwide and leaves 165 million children stunted, compromising cognitive development and physical capabilities. Chronically malnourished children are, on average, nearly 20 percent less literate than those who have a nutritious diet. Thus, malnutrition can shape a society's long-term health, stability, and prosperity.

Solange Helene Rasoanirina is an active and motivated member of her community. Along with community health volunteers, the 24-year-old has become a reference for health in Masiakakoho, a remote village in southeastern Madagascar’s Tataho commune in Manakara II district.

With the signature chubby cheeks and plump thighs of a well-fed, healthy baby, Justina charms the villagers in Mizilo Gare, the small Malagasy commune where she lives. They admire Justina’s good health and consider her mother, Justine, a role model for other mothers in the community.

Over 100 guests attended the USAID/Madagascar MIKOLO project launch on December 4, 2013 at the MSH office in Antananarivo, Madagascar. Participants included public health experts in Madagascar, as well as MSH founder, Ron O’Connor.
Dr. O’Connor spoke at the launch, as did MIKOLO Project Director John Yanulis and USAID Mission Director Susan Riley, setting the stage for strong collaboration and support from USAID/Madagascar.